Physician Compare National (NPI:1407910730)

HEALTHCARE PROVIDER: EDWARD JOSEPH SWANTON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1407910730
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678622396
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090528000373
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SWANTON
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	WINDRUSH BEHAVIORAL HEALTH LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5890002224
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	51
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5550 TUCKERMAN LN
	Group Practice or individual's line 1 address
City	NORTH BETHESDA
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	208524683
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3018978566
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210064
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LEVINDALE HEBREW GERIATRIC CENTER AND HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	210012
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SINAI HOSPITAL OF BALTIMORE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y